Individual provider Active NPI

Adrienne Wai-Wah Lee, M.D.

  • Pediatrics Physician
  • Huber Heights, OH
National Provider Identifier
1639340136
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.120351 Issued in OH
Practice address
8501 Old Troy Pike Ste 120
Huber Heights, OH 45424-1061
Phone
(937) 237-4945
Fax
(937) 237-4925
NPI assigned
Mar 12, 2008
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD440300 PA
Pediatrics Physician 208000000X 35.120351 OH Primary

Addresses

Primary practice location

8501 Old Troy Pike Ste 120
Huber Heights, OH 45424-1061

Mailing address

PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-3000

Other practice location 1

6551 Centerville Business Pkwy Ste 110
Centerville, OH 45459-2696
Phone (937) 291-6850

Other practice location 2

200 Rockridge Rd Ste 110
Englewood, OH 45322-2751
Phone (937) 836-9921

Other practice location 3

3333 W Tech Rd Ste 120
Miamisburg, OH 45342-0956
Phone (937) 748-6116

Other practice location 4

1152 W 3rd St Ste 102
Dayton, OH 45402-6848
Phone (937) 268-3483

Other practice location 5

1425 N Fairfield Rd Ste 120
Beavercreek, OH 45432-2674
Phone (937) 320-3888

Other identifiers 2

IdentifierTypeStateIssuer
1025033510001MedicaidPA
0075803MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000803 OH Practitioner - Pediatric Medicine 3577752625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.120351OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jun 29, 2025 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jul 9, 2025 Accepting new patients
Community Health Centers of Greater Dayton Past Accepting new patients

Locations

1425 N Fairfield Rd
Ste 120
Beavercreek, OH 45432
Phone (937) 320-3888

1152 W 3rd St
Ste 102
Dayton, OH 45402
Phone (937) 268-3483

6551 Centerville Business Pkwy
Ste 110
Dayton, OH 45459
Phone (937) 291-6850

200 Rockridge Rd
Ste 110
Englewood, OH 45322
Phone (937) 836-9921

8501 Old Troy Pike
Ste 120
Huber Heights, OH 45424
Phone (937) 237-4945

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Ste 120
Miamisburg, OH 45342
Phone (937) 748-6116

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1639340136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 OLD TROY PIKE STE 120",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241061",
            "telephone_number": "937-237-4945",
            "fax_number": "937-237-4925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6551 Centerville Business Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454592696",
            "country_code": "US",
            "telephone_number": "937-291-6850",
            "fax_number": "937-291-6896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Rockridge Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222751",
            "country_code": "US",
            "telephone_number": "937-836-9921",
            "fax_number": "937-836-1298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 W Tech Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420956",
            "country_code": "US",
            "telephone_number": "937-748-6116",
            "fax_number": "937-291-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 W 3rd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454026848",
            "country_code": "US",
            "telephone_number": "937-268-3483",
            "fax_number": "937-268-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 N Fairfield Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322674",
            "country_code": "US",
            "telephone_number": "937-320-3888",
            "fax_number": "937-320-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ADRIENNE",
        "middle_name": "WAI-WAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD440300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.120351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025033510001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.